CVHS Student's COVID-19 Reporting Form
If you or a family member has tested positive for COVID or come in contact with someone who has tested positive please complete the form below and expect a follow up phone call from Heather Prentice, the School Nurse.
Sign in to Google to save your progress. Learn more
Email *
Name
Birthday
MM
/
DD
/
YYYY
Phone Number
Last day you were on campus.
MM
/
DD
/
YYYY
Date of when your symptoms began.
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy